Organization
EDWARDS HOME KARE AND RESPITE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE EDWARDS (CEO)
(252) 673-9327
Entity
Organization
Contact information
Practice address
414 PITTMAN DR, GREENVILLE, NC 27834-5664
(252) 673-9327
Mailing address
414 PITTMAN DR, GREENVILLE, NC 27834-5664
(252) 673-9327
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305S00000X
Point of Service
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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